# TENDER HEART HOME HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TENDER HEART HOME HEALTH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578521258
- **Authorized official:** MRS. KOFO KAY SERIKI MPA (ADMINISTRATOR)
- **Authorized official phone:** (817) 265-0066

## Contact information

- **Practice address:** 3210 W PARK ROW DR, PANTEGO, TX 76013-3136
- **Practice address phone:** (817) 265-0066
- **Practice address fax:** (817) 265-0089
- **Mailing address:** 3210 W PARK ROW DR, PANTEGO, TX 76013-3153
- **Mailing address phone:** (817) 265-0066
- **Mailing address fax:** (817) 265-0089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 005005 | TX | Yes |

## Other

- **Enumeration date:** 05/03/2006
- **Last updated:** 01/16/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 024294301 | — | TX |